1 pc ost pouch w filter at HCA HOUSTON MEDICAL CENTER
1313 Hermann Dr, Houston, TX · HCA Houston Healthcare · · NPI 1073043592
$80.00
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$80.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$4.80 with Superior Health Plan vs $51.23 with Humana — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Superior Health Plan | STARPLUS | $4.80 | ↓ -94% |
| Superior Health Plan | CHIP | $4.80 | ↓ -94% |
| Superior Health Plan | CHPFC | $4.80 | ↓ -94% |
| Superior Health Plan | STAR | $4.80 | ↓ -94% |
| Superior Health Plan | STARKids | $4.80 | ↓ -94% |
| Oscar | MGMCR | $6.53 | ↓ -92% |
| Humana | MedicareAdvantagePPOPFFS | $6.66 | ↓ -92% |
| Cigna HealthSpring | MMP | $6.66 | ↓ -92% |
| Cigna HealthSpring | PFFS | $6.66 | ↓ -92% |
| Cigna HealthSpring | MCRPPO | $6.66 | ↓ -92% |
| Cigna HealthSpring | MCRHMO | $6.66 | ↓ -92% |
| Devoted Health | MGMCR | $6.66 | ↓ -92% |
| TriWest Healthcare Alliance | FED | $6.66 | ↓ -92% |
| Christus (USFHP) | TRICARE | $6.66 | ↓ -92% |
| Humana | MedicareAdvantageHMO | $6.66 | ↓ -92% |
| Cigna HealthSpring | MCRSNP | $6.66 | ↓ -92% |
| BCBS | MedicareAdvantageHMO | $6.66 | ↓ -92% |
| BCBS | MCRPPO | $6.66 | ↓ -92% |
| TriWest Health Alliance | TRCR | $6.66 | ↓ -92% |
| WellMed | MGMCR | $6.69 | ↓ -92% |
| BCBS | MyBlueHealth | $6.73 | ↓ -92% |
| Van Lang IPA | MCR | $6.73 | ↓ -92% |
| United | MCR | $6.79 | ↓ -92% |
| WellCare | PPO | $6.86 | ↓ -91% |
| WellCare | SNP | $6.86 | ↓ -91% |
| WellCare | POS | $6.86 | ↓ -91% |
| WellCare | MCRHMO | $6.86 | ↓ -91% |
| WellCare | PFFS | $6.86 | ↓ -91% |
| Integranet Amerigroup IPA | MCR | $6.86 | ↓ -91% |
| ProCare Advantage | MGMCR | $6.99 | ↓ -91% |
| Superior Health Plan | PFFS | $6.99 | ↓ -91% |
| Superior Health Plan | MCRSNP | $6.99 | ↓ -91% |
| Superior Health Plan | MCRPPO | $6.99 | ↓ -91% |
| Superior Health Plan | MCRPOS | $6.99 | ↓ -91% |
| Superior Health Plan | MCRHMO | $6.99 | ↓ -91% |
| Superior Health Plan | DualEligible | $6.99 | ↓ -91% |
| American Health Plan | MGMCR | $6.99 | ↓ -91% |
| Shared Health | MGMCR | $6.99 | ↓ -91% |
| Provider Partners Health Plan of Texas | PFFS | $7.06 | ↓ -91% |
| Provider Partners Health Plan of Texas | PPO | $7.06 | ↓ -91% |
| Provider Partners Health Plan of Texas | SNP | $7.06 | ↓ -91% |
| Provider Partners Health Plan of Texas | POS | $7.06 | ↓ -91% |
| Provider Partners Health Plan of Texas | MCRHMO | $7.06 | ↓ -91% |
| Molina | MGMCR | $7.26 | ↓ -91% |
| BCBS | BAV | $7.44 | ↓ -91% |
| Verda Health Plan | MCR | $8.66 | ↓ -89% |
| BCBS | HMO | $9.29 | ↓ -88% |
| Community Health Choice | HIX | $9.66 | ↓ -88% |
| Superior | ValueHMO | $9.66 | ↓ -88% |
| BCBS | EPOSOA | $9.83 | ↓ -88% |
| Superior | EPO | $10.32 | ↓ -87% |
| Superior | HMO | $10.32 | ↓ -87% |
| BCBS | PPO | $10.37 | ↓ -87% |
| Community Health Choice MCD | CHIP | $10.40 | ↓ -87% |
| Community Health Choice MCD | STAR | $10.40 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $10.40 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $10.40 | ↓ -87% |
| Cigna | CSN | $11.84 | ↓ -85% |
| Cigna | OpenAccessPlus | $12.80 | ↓ -84% |
| United | OptionsPPO | $13.44 | ↓ -83% |
| Molina Healthcare | HIX | $14.32 | ↓ -82% |
| Cigna | PPO | $15.20 | ↓ -81% |
| BCBS | Traditional | $28.00 | ↓ -65% |
| United | GlobalAppendix | $36.00 | ↓ -55% |
| Coventry National First Health | COMM | $42.64 | ↓ -47% |
| Humana | PPO | $51.23 | ↓ -36% |
| Humana | HMO | $51.23 | ↓ -36% |
Visitor-reported prices
Comments
1 pc ost pouch w filter at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $48.00 | $6.53 – $14.32 |
| Covenant Children's Hospital | Lubbock | not published | $6.24 – $6.24 |
| HCA HOUSTON CONROE | CONROE | not published | $6.53 – $14.32 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $6.53 – $14.32 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $6.53 – $14.32 |